Reply to Sibley OB recommendations who don’t push AMA 39 week induction

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Bloom are absolutely not your people on this. They are the definition of folks who schedule inductions for convenience.[/quote]
This is absurd. I went to Bloom, chose a 39 week induction and the doctors have no say over when it is scheduled (Sibley makes that decision), Sibley rescheduled mine twice due to a nurse or bed shortage, and you have no idea how long an induction will take before you are ready for the doctor to come in and deliver. Bloom has a doctor on rotation all the time at Sibley. Why do people think doctors have a conspiracy against their health?[/quote]

Not a conspiracy. Perverse incentives.

An OBs incentive for potential predictability, additional revenue, ease of scheduling and protection from liability is at times in conflict with a patients incentive for potential better recovery and early neonatal period for their infant.

This doesn’t mean they’re conspiring it just means a well informed patient needs to be aware of all the levers acting on an OB and advocate for herself and her own best outcome.

It’s naive to think every OB prioritizes the optimal recovery over predictability. [/quote]
Don't forget the incentive that if the baby is harmed they will get in big trouble, but if the mother is harmed nothing at all happens to them. Your recovery, your survival, are not at the top of their priority list.

Baby's outcome is honestly the only thing that drives the standard of care for childbirth. Not science or data - which shows that many of these standard treatments are harmful to birthing moms having low-risk pregnancies (75+% of them) despite being in regular use throughout the country. But, they tend to save babies from any harm..although statistically we stopped saving more babies years ago; the mortality levels have plateaued, while maternal mortality and morbidity rates in this country have risen astronomically. They are double, triple the rates of all other wealthy countries. +++ that for black and other minority moms.

If you read up on this you will find there are parts of the healthcare system trying to fix this - it's a mix of being intentional about identifying risk and then treating the level of risk appropriately, and centering care on the mom. Sadly without getting all women access to the best prenatal care and well woman care (many pregnancies are high risk due to conditions that were unmanaged long before the first pregnancy), we may not see big gains, but at least it's a move in the right direction.[/quote]

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